دورية أكاديمية
Rodenticide poisoning leading to cerebral hemorrhage: A case report.
| العنوان: | Rodenticide poisoning leading to cerebral hemorrhage: A case report. |
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| المؤلفون: | He QK; Department of Neurology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China., Wu YH; Department of Neurology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China., Lu XY; Department of Neurology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China., Liu MW; Department of Emergency Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.; Department of Emergency Medicine, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China. |
| المصدر: | Medicine [Medicine (Baltimore)] 2024 Feb 16; Vol. 103 (7), pp. e36971. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins |
| مواضيع طبية MeSH: | Rodenticides* , Poisoning*, Male ; Humans ; Mice ; Animals ; Adult ; Vitamin K 1 ; Dizziness ; Anticoagulants ; Cerebral Hemorrhage/chemically induced ; Cerebral Hemorrhage/diagnostic imaging ; Headache |
| مستخلص: | Rationale: Anticoagulant rodenticides (ARs) are a substantial fraction of murine types. AR poisoning causes bleeding from the skin, mucous membranes, and multiple organs. However, reports of AR-induced cerebral hemorrhage are scarce. Patient Concerns: A 40-year-old male presented with dizziness, headache, and limb weakness for 5 days and with coagulopathy. Two days prior to the onset of these symptoms, the patient was exposed to dead mice. Diagnoses: Rodenticide intoxication-induced cerebral hemorrhage. Interventions: Vitamin K1 infusion, administration of dehydrating agents to reduce intracranial pressure, and correction of acid-base and electrolyte imbalances. Outcomes: After 9 days of treatment, the patient's symptoms were relieved, and reexamination revealed that coagulation parameters returned to normal levels. The patient was eventually discharged for observation with oral vitamin K1. Conclusions: Rodenticide poisoning can lead to intracerebral hemorrhage, and treatment with vitamin K1 infusion is effective. Lesson: Rodenticide poisoning-induced cerebral hemorrhage is rarely reported. Because its symptoms are nonspecific, it is easy to miss the diagnosis or misdiagnose. When patients present with direct and indirect symptoms such as dizziness, headache, and limb weakness, rodenticide poisoning should be considered. Coagulation function and head computed tomography or magnetic resonance imaging examination should be performed at the earliest to confirm the diagnosis and provide timely treatment. Competing Interests: All authors have no conflicts of interest to disclose. (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.) |
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| المشرفين على المادة: | 0 (Rodenticides) 84-80-0 (Vitamin K 1) 0 (Anticoagulants) |
| تواريخ الأحداث: | Date Created: 20240216 Date Completed: 20240219 Latest Revision: 20240219 |
| رمز التحديث: | 20240219 |
| مُعرف محوري في PubMed: | PMC10869089 |
| DOI: | 10.1097/MD.0000000000036971 |
| PMID: | 38363928 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1536-5964 |
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| DOI: | 10.1097/MD.0000000000036971 |